Organization Active NPI

Korman Optometry, LTD

  • Clinic/Center
  • Henderson, NV
National Provider Identifier
1285828210
Registry record updated Dec 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
KORMAN OPTOMETRY, LTD
Practice address
2870 Bicentennial Pkwy
Ste 130
Henderson, NV 89044-4480
Phone
(702) 459-3937
NPI assigned
Sep 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Shana Farber Korman, O.D.NPI 1649312323
Title
Optometrist/President
Phone
(702) 459-3937

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2870 Bicentennial Pkwy
Ste 130
Henderson, NV 89044-4480

Mailing address

2870 Bicentennial Pkwy
Ste 130
Henderson, NV 89044-4480
Phone (702) 459-3937

Other names 1

  • Eye Studio at Anthem Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071010000706 NV Part B Supplier - Clinic/Group Practice 4183710882 Receives reassigned benefits from 1 practitioner
Practice locations: Henderson, NV

National Provider Directory

National Provider Directory

Locations

2870 Bicentennial Pkwy
Ste 130
Henderson, NV 89044
Phone (215) 805-2348

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229644800000",
    "number": "1285828210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2870 BICENTENNIAL PKWY",
            "address_2": "STE 130",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890444480",
            "telephone_number": "702-459-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2870 BICENTENNIAL PKWY",
            "address_2": "STE 130",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890444480",
            "telephone_number": "702-459-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KORMAN OPTOMETRY, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-04",
        "last_updated": "2008-12-19",
        "status": "A",
        "authorized_official_last_name": "KORMAN",
        "authorized_official_first_name": "SHANA",
        "authorized_official_middle_name": "FARBER",
        "authorized_official_title_or_position": "OPTOMETRIST/PRESIDENT",
        "authorized_official_telephone_number": "702-459-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Studio at Anthem",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.